Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $52.62 / $148.96	Professional		$45.21	$52.62	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $20.85 / $39.49	Professional	26	$17.14	$20.85	$39.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $31.64 / $109.46	Professional	TC	$25.23	$31.64	$109.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $125.12 / $125.12 / $125.12	Facility	26	$125.12	$125.12	$125.12
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $114.83 / $453.03	Professional		$49.44	$114.83	$453.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $40.61 / $158.49	Professional	26	$18.87	$40.61	$158.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.99 / $90.05 / $300.38	Professional	TC	$32.99	$90.05	$300.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $77.73 / $77.73	Professional		$66.23	$77.73	$77.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.34 / $50.28 / $50.28	Professional	TC	$40.34	$50.28	$50.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $64.64 / $144.94	Professional		$37.75	$64.64	$144.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $22.28 / $46.00	Professional	26	$13.22	$22.28	$46.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.34 / $39.09 / $97.00	Professional	TC	$24.34	$39.09	$97.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $83.85 / $153.58	Professional		$31.45	$83.85	$153.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $192.00 / $259.89	Professional		$92.58	$192.00	$259.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $57.86 / $78.31	Professional	26	$30.72	$57.86	$78.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $71.68 / $141.50 / $182.71	Professional	TC	$71.68	$141.50	$182.71
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $125.12 / $125.12 / $125.12	Facility	26	$125.12	$125.12	$125.12
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $106.90 / $453.03	Professional		$43.53	$106.90	$453.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $39.22 / $158.49	Professional	26	$18.43	$39.22	$158.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.41 / $72.11 / $300.38	Professional	TC	$29.41	$72.11	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $83.52 / $182.45	Professional		$40.36	$83.52	$182.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.66 / $28.02 / $61.11	Professional	26	$17.66	$28.02	$61.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $54.08 / $145.52	Professional	TC	$22.95	$54.08	$145.52